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Similarities and differences between service users’ and carers’ experiences of crisis resolution teams in Norway: a survey
BACKGROUND: Crisis resolution team (CRT) care in adult mental health services is intended to provide accessible and flexible short-term, intensive crisis intervention to service users experiencing a mental health crisis and involve their carers (next of kin). Research on users’ and especially carers...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9011940/ https://www.ncbi.nlm.nih.gov/pubmed/35421950 http://dx.doi.org/10.1186/s12888-022-03928-w |
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author | Hasselberg, Nina Klevan, Trude Gøril Weimand, Bente Uverud, Gunn-Marit Holgersen, Katrine Høyer Siqveland, Johan Ruud, Torleif |
author_facet | Hasselberg, Nina Klevan, Trude Gøril Weimand, Bente Uverud, Gunn-Marit Holgersen, Katrine Høyer Siqveland, Johan Ruud, Torleif |
author_sort | Hasselberg, Nina |
collection | PubMed |
description | BACKGROUND: Crisis resolution team (CRT) care in adult mental health services is intended to provide accessible and flexible short-term, intensive crisis intervention to service users experiencing a mental health crisis and involve their carers (next of kin). Research on users’ and especially carers’ experiences with CRT care is scarce and is mostly qualitative in nature. METHODS: Altogether, 111 service users and 86 carers from 28 Norwegian CRTs were interviewed with The Service User and Carer Structured Interviews of the CORE Crisis Resolution Team Fidelity Scale Version 2. Their experiences with different aspects of CRT care were reported with descriptive statistics, and differences between service users’ and carers’ experiences were analyzed with the Mann-Whitney U Test. RESULTS: The service users and carers reported that the CRT care mostly reflected their needs and what they wanted. The experiences of service users and carers were mostly similar, except for significant differences in received information and how the termination of CRT care appeared. Both groups experienced the organization of the CRT care as accessible, with continuity, reliability, and flexibility, but without a high intensity of care. Both groups found the content of the CRT care supportive, sensitive, with a choice of treatment type and a range of interventions beyond medication, but a lack of written treatment plans and discharge plans. Carers were rarely involved in discharge meetings. Regarding the role of CRTs within the care system, both groups agreed upon the lack of facilitation of early discharge from inpatient wards and lack of home treatment, but both groups confirmed some collaboration with other mental health services. CONCLUSION: Service users and carers found that the CRTs were accessible, reliable, flexible, supportive, sensitive, and provided a range of interventions beyond medication. Limitations were lack of a high intensity of care, limited written treatment and discharge plans, limited provision of home treatment, and lack of gatekeeping of acute beds. Both groups experienced the CRT care as mostly similar, but with significant differences regarding involvement in care planning and discharge preparation. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12888-022-03928-w. |
format | Online Article Text |
id | pubmed-9011940 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-90119402022-04-16 Similarities and differences between service users’ and carers’ experiences of crisis resolution teams in Norway: a survey Hasselberg, Nina Klevan, Trude Gøril Weimand, Bente Uverud, Gunn-Marit Holgersen, Katrine Høyer Siqveland, Johan Ruud, Torleif BMC Psychiatry Research BACKGROUND: Crisis resolution team (CRT) care in adult mental health services is intended to provide accessible and flexible short-term, intensive crisis intervention to service users experiencing a mental health crisis and involve their carers (next of kin). Research on users’ and especially carers’ experiences with CRT care is scarce and is mostly qualitative in nature. METHODS: Altogether, 111 service users and 86 carers from 28 Norwegian CRTs were interviewed with The Service User and Carer Structured Interviews of the CORE Crisis Resolution Team Fidelity Scale Version 2. Their experiences with different aspects of CRT care were reported with descriptive statistics, and differences between service users’ and carers’ experiences were analyzed with the Mann-Whitney U Test. RESULTS: The service users and carers reported that the CRT care mostly reflected their needs and what they wanted. The experiences of service users and carers were mostly similar, except for significant differences in received information and how the termination of CRT care appeared. Both groups experienced the organization of the CRT care as accessible, with continuity, reliability, and flexibility, but without a high intensity of care. Both groups found the content of the CRT care supportive, sensitive, with a choice of treatment type and a range of interventions beyond medication, but a lack of written treatment plans and discharge plans. Carers were rarely involved in discharge meetings. Regarding the role of CRTs within the care system, both groups agreed upon the lack of facilitation of early discharge from inpatient wards and lack of home treatment, but both groups confirmed some collaboration with other mental health services. CONCLUSION: Service users and carers found that the CRTs were accessible, reliable, flexible, supportive, sensitive, and provided a range of interventions beyond medication. Limitations were lack of a high intensity of care, limited written treatment and discharge plans, limited provision of home treatment, and lack of gatekeeping of acute beds. Both groups experienced the CRT care as mostly similar, but with significant differences regarding involvement in care planning and discharge preparation. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12888-022-03928-w. BioMed Central 2022-04-14 /pmc/articles/PMC9011940/ /pubmed/35421950 http://dx.doi.org/10.1186/s12888-022-03928-w Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Hasselberg, Nina Klevan, Trude Gøril Weimand, Bente Uverud, Gunn-Marit Holgersen, Katrine Høyer Siqveland, Johan Ruud, Torleif Similarities and differences between service users’ and carers’ experiences of crisis resolution teams in Norway: a survey |
title | Similarities and differences between service users’ and carers’ experiences of crisis resolution teams in Norway: a survey |
title_full | Similarities and differences between service users’ and carers’ experiences of crisis resolution teams in Norway: a survey |
title_fullStr | Similarities and differences between service users’ and carers’ experiences of crisis resolution teams in Norway: a survey |
title_full_unstemmed | Similarities and differences between service users’ and carers’ experiences of crisis resolution teams in Norway: a survey |
title_short | Similarities and differences between service users’ and carers’ experiences of crisis resolution teams in Norway: a survey |
title_sort | similarities and differences between service users’ and carers’ experiences of crisis resolution teams in norway: a survey |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9011940/ https://www.ncbi.nlm.nih.gov/pubmed/35421950 http://dx.doi.org/10.1186/s12888-022-03928-w |
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